Exam 19: Addictions and Compulsions

In the emergency department,a patient's vital signs are: blood pressure (BP),66/40 mm Hg;pulse (P),140 beats per minute (bpm);and respirations (R),8 breaths per minute and shallow.The patient overdosed on illegally obtained hydromorphone (Dilaudid).Select the priority outcome.

When a person first begins drinking alcohol,two drinks produce relaxation and drowsiness.After 1 year,four drinks are needed to achieve the same relaxed,drowsy state.Why does this change occur?

Which documentation indicates that the treatment plan for a patient in an alcohol rehabilitation program was effective?

An alcohol-dependent patient was hospitalized at 0200 today.When would the nurse expect withdrawal symptoms to peak?

When working with a patient beginning treatment for alcohol dependence,what is the nurse's most therapeutic approach?

A patient comes to an outpatient appointment obviously intoxicated.The nurse should:

A patient is admitted in a comatose state after ingesting 30 capsules of pentobarbital sodium.A friend of the patient says,"Often my friend drinks,along with taking more of the drug than is ordered." What is the effect of the use of alcohol with this drug?

An adult in the emergency department states,"I feel restless.Everything I look at wavers.Sometimes I'm outside my body looking at myself.I hear colors.I think I'm losing my mind." Vital signs are slightly elevated.The nurse should suspect a(n):

When assessing a patient who has ingested flunitrazepam (Rohypnol),the nurse would expect:

A nurse can assist a patient and family in which aspects of substance abuse relapse prevention? Select all that apply.

A nurse is called to the home of a neighbor and finds an unconscious person still holding a medication bottle labeled pentobarbital sodium.What is the nurse's first action?

A patient admitted yesterday for injuries sustained in a fall while intoxicated believes bugs are crawling on the bed.The patient is anxious,agitated,and diaphoretic.What is the priority nursing diagnosis?

Police bring a patient to the emergency department after an automobile accident.The patient is ataxic with slurred speech and mild confusion.The blood alcohol level is 400 mg/dl (0.4 mg %).Considering the relationship between behavior and blood alcohol level,which conclusion can the nurse draw? The patient:

A patient was admitted 48 hours ago for injuries sustained while intoxicated.The patient is shaky,irritable,anxious,and diaphoretic.The pulse rate is 130 beats per minute.The patient shouts,"Bugs are crawling on my bed.I've got to get out of here." What is the most accurate assessment of the situation? The patient:

A hospitalized patient,injured in a fall while intoxicated,believes spiders are spinning entrapping webs in the room.The patient is anxious,agitated,and diaphoretic.Which nursing intervention has priority?

In what significant ways is the therapeutic environment different for a patient who has ingested D-lysergic acid diethylamide (LSD)than for a patient who has ingested phencyclidine (PCP)?

While caring for a patient with a methamphetamine overdose,which tasks are the priority focuses of care? Select all that apply.

A newly hospitalized patient has needle tracks on both arms.A friend states that the patient uses heroin daily but has not used in the past 24 hours.The nurse should assess the patient for:

A patient in an alcohol rehabilitation program says,"I have been a loser all my life.I'm so ashamed of what I have put my family through.Now,I'm not even sure I can succeed at staying sober." Which nursing diagnosis applies?

Which medication is the nurse most likely to see prescribed as part of the treatment plan for both a patient in an alcoholism treatment program and a patient in a program for the treatment of opioid addiction?